Main description:

This book's central focus is to provide academics, students, policy-makers, and practitioners with a unique insight into a wide variety of perspectives on settings-based health promotion. It offers clarity amidst different interpretations and ideological understandings of what applying a settings-based approach means. Emphasis is given to a salutogenic focus, exploring how the creation of wellbeing and fostering of potential in settings to best enable individuals and populations to flourish implies that the setting itself must be the entry point for health promotion. Building on this, the text explores how the settings approach to health promotion strives for changes in the structure and ethos of the setting - detailing how changes and developments in people's health and health behavior are easier to achieve if health promoters focus on settings rather than solely on individuals.
The book comprises 15 chapters organized in three sections:

In Part I, Evolution, Foundations and Key Principles of the Settings-Based Approach, the first four chapters present the determinants, theoretical basis, and generic commonalities that are consistent over various settings initiatives and formulate the grounds for the settings-based health promotion approach.
In Part II, Applying the Settings-Based Approach to Key Settings, Chapters 5-13 introduce the key settings initiatives - both traditional and non-traditional (new and contemporary) - with their developments and specific features.

In Part III, Gaia - The Ultimate Setting for Health Promotion, the last two chapters consider the settings approach in the context of future challenges and explore possible directions for further development.

Handbook of Settings-Based Health Promotion has novel information and perspectives on the topic that provide readers with up-to-date specialist knowledge and application of global developments to develop and enhance a common understanding and generate new thinking in relation to contemporary settings. This timely tome will engage the academic community in the fields of health promotion and public health including students, teaching staff, and researchers. Additionally, it is a useful resource for policy-makers and practitioners in these fields.

Contents:

Preface: The preface provides a concise introduction to the book, outlining the aims, structure, andcontents.

Part I: Evolution, Foundations and Key Principles of the Settings-Based ApproachPart One provides the rationale for this approach in the context of investing for health andtackling 21st-century public health problems. In this section, the key characteristics of the settingsapproach are discussed with a specific focus on the evolution, approaches and key concepts,theoretical underpinnings, principles, governance, and evaluation. This part of the book alsoexplores the relationship of the settings approach to wider public health and health promotiontheory.
1.1 Evolution of the Settings-Based ApproachProfessor Mark Dooris, Dr Michelle Baybutt, and Dr Sami KokkoThis chapter sets out the development and evolution of the settings approach utilizing achronological perspective on:- conceptual development (including models for understanding and operationalising the settingsapproach - e.g. Baric 1993, Galea et al 2000, Whitelaw et al 2001, Dooris 2004, 2006, Paton et al2005, Kokko et al. 2014)- policy development (including WHO charters and declarations, examples of nationalcommitments)- practice/programme development (including international networks and collaborating centres,IUHPE developments, examples of national and sub-national activities)Emerging themes and debates are highlighted in this chapter, as a means of introduction forlater chapters.
1.2 Underlying Approaches and Theoretical GroundsProfessor Mark Dooris, Dr Michelle Baybutt, and Dr Sami KokkoThis chapter sets out the underlying approaches and theoretical grounds and presents aconceptual framework for the healthy settings approach.The introduction sets out the need for a conceptual framework, programme theory, and guidingprinciples by drawing on, for example, Dooris, Poland et al 2007, and exploring and linking theoryaround systems thinking and complexity and, ecological and salutogenic orientation. The chapterprovides a critical focus on: Underpinning values- equity- partnership [inter-professional and inter-disciplinary]- participation, empowerment, and resilience- sustainable development Key characteristics - principles, perspectives, and features, to include:- ecological model- systems thinking [including open systems and connections to other settings - includingBronfenbrenner] Whole-system organisational development and community development focus
1.3 Principles for Settings-Based PracticeProfessor Mark Dooris, Dr Michelle Baybutt, and Dr Sami KokkoThis chapter sets out the key principles for settings-based practice and comprises: Framing practice - key cross-cutting issues, to include:- assets/salutogenesis and deficits/pathogenesis- balancing project work with long-term whole system [organisational and community]development and change including building resilience- securing top-down commitment and bottom-up engagement- reflecting public health and core business concerns- tackling inequalities and working within power structures- being informed by evidence and prioritising innovation and creativity Operational practice (e.g., cycle model) - frameworks for the process of engaging and deliveringthe setting-based approach Sustainability, health, and the settings-based approach: convergence of agendas
1.4 Governance and Policies for the Settings-Based WorkThe necessity of securing a supportive policy context at local, national, and international levels are explored in this chapter and includes a critical reflexive discussion with regard to formal and informal policy. Building on policy development set out in 1.1, a more in-depth discussion of WHO charters and declarations, alongside examples of national commitments, are presented. Additionally, the chapter profiles the widely-endorsed and adopted Health in All Policies approach, exploring how this macro focus across multiple sectors and policy areas provides an important context and framework within which to advocate for and develop settings-based health promotion. It also provides a focus on using mainstream mechanisms to enable effective delivery and enhance programme sustainability (including examples from different countries - e.g., UK Sustainability & Transformation Plans).
1.5 Evaluating Settings-Based Health PromotionThis chapter discusses the challenges of evaluating ecological settings-based initiatives and of
building evidence of its effectiveness. Critical perspectives on research and evidence-based publichealth are presented - to include complexity, critical realism, and models of learning.The chapter concludes with a summary of the key issues and suggests ways forward,particularly emphasising the importance of forging new directions in research and practiceincluding complexity and critical realist perspectives.

Part II: Applying the Settings-Based Approach to Key SettingsPart Two provides the reader with the criteria for settings-based practice by focusing on specificsettings. This section discusses how the settings approach recognizes that many healthdeterminants and influences are interrelated and can be best tackled through comprehensive,integrated programmes in the contexts and places where people spend their lives.
This section provides an in-depth focus on settings-based health promotion in the
following (suggested) settings:
2.1 Healthy Cities
2.2 Health-Promoting Schools
2.3 Health-Promoting Hospitals
2.4 Health-Promoting Universities and Campuses
2.5 Health-Promoting Workplaces
2.6 Health-Promoting Prisons
2.7 Health-Promoting Sports Clubs
2.8 Internet and Social Media as Settings for Health Promotion
2.9 Other Non-Traditional and Emergent Settings for Health Promotion (e.g. day care/learningcentres/pre-school)

Part III: Gaia -- The Ultimate Setting for Health PromotionPart Three highlights the key future directions and challenges for the settings approach. Eachchapter explores current policy and implications for practice for practitioners working in a rangeof settings. Intended to be a supportive handbook, it gives guidance for delivering settings-basedhealth promotion in traditional and new/emerging contexts.
This section revisits the principles for practice set out in Part One and distills insights from PartTwo to highlight contemporary challenges facing practitioners, policy-makers, and academicsengaged in advocating, developing, delivering, and evaluating settings-based programmes in the21st century. The suggested chapter themes comprise:
3.1 Global Issues for the Settings-Based Approach (sustainable development, resilience,urbanisation, etc.)
3.2 Contrasting Challenges for Settings-Based Health Promotion in Developed and DevelopingCountries
3.3 Future Directions for Evaluation and Research: The Need for Practice-Based Research/Evidence
3.4 Generic and Settings-Specific Challenges

ConclusionDr Michelle Baybutt and Dr Sami KokkoA reflective summary that draws together the key themes are presented.